Vanessa Draper is Research Director at Knoxville Orthopedic Clinic, Knoxville, TN 38919.
J Athl Train. 1993 Spring;28(1):38-41.
Rehabilitation protocols following anterior cruciate ligament reconstructions have become increasingly aggressive in the past several years, preparing the patient to return to sport activities within 4 to 6 months. In 1989, we initiated a moderately accelerated protocol and were interested in the long-term effects of early weight bearing, immediate full motion, early incorporation of closed chain activities, and early return to sport. We received responses from 58 of 180 patients surveyed. All had undergone a bone-patellar tendon-bone autograft reconstruction procedure 12 to 21 months prior and had followed the rehabilitation protocol described. Results of the Lysholm Knee Scoring Scale and a questionnaire regarding preinjury and postinjury activity levels, pain and stability ratings, and current activity indicated that the majority of these patients had returned to sport and recreation and were participating at levels of moderate to high intensity with little or no difficulty.
在过去的几年中,前交叉韧带重建术后的康复方案变得越来越积极,使患者能够在 4 至 6 个月内恢复运动活动。1989 年,我们开始采用一种适度加速的方案,我们对早期负重、立即完全运动、尽早采用闭链活动以及尽早恢复运动的长期效果感兴趣。我们收到了调查的 180 名患者中的 58 名的回复。所有患者均在 12 至 21 个月前接受了骨-髌腱-骨自体移植物重建手术,并遵循了所描述的康复方案。Lysholm 膝关节评分量表的结果以及一份关于受伤前和受伤后活动水平、疼痛和稳定性评分以及当前活动的问卷表明,这些患者中的大多数已经恢复了运动和娱乐活动,并且以低到高的强度进行活动,几乎没有或没有任何困难。